This blog comes the day after Thanksgiving, and that is not coincidental. I visited my elderly grandparents for the holiday and for the most part just really loved getting caught up with their life happenings.

Grandma & Grandpa Cecile know where I work and what I do. I’ve done the same for the past 15 years, and darn-it they have been avoiding coming to visit me to see the Audiologists for equally as long.

This year was no different. Except that Meme was complaining of an incessant ringing in her ears that started two months ago. Ringing that is high pitched and distracting. So distracting that she visited her family physician twice. Twice she was told that nothing could be done, and to leave a radio on when she tries to sleep. She was telling me this while I nodded my head and waited for her to finish telling me how her ringing in her ears keeps her from painting and doing her word search puzzles.

When I softly commented that if there was a simple fix to the ringing in her ears, would she do it? Yes? Well, then perhaps she should make an appointment to see the Audiologist at The Hearing & Dizziness Clinic. Then the excuses began.

I wish I had a tape recorder on me, because this list would be more than a “Top 5”.

1. I can hear a pin drop. This is for all of those who use this excuse (or it’s close relative the ‘I don’t have a problem with my hearing, I hear everything’.) While it’s true that you may in fact hear pins drop, that is but ONE frequency of sound. Without a hearing test for the last 40 years, how do you know that you are hearing everything?

2. My mother lived to be 95 and never needed a hearing aid. Needing vs. wanting a hearing aid are two very different things. (I knew Granny Sweetie at 95. She needed a hearing aid. She may not have wanted one, but she certainly needed one.) Regardless of need vs. want, this excuse is made moot by the fact that you and your mother did not have the same experiences in life that may have damaged hearing. While yes, genetics can play a factor in hearing loss, generally inherited hearing loss is present in newborns.

3. It’s just the two of us and I don’t need to hear him. Well there you have it. Argument finished. There couldn’t possibly be anything else to listen to in your life other than Grandpa. The kettle boiling, the doorbell, the garage door malfunctioning (as it did last year, which they didn’t realize until I visited), an intruder breaking in, mice in the walls in the kitchen, the muffler going on the minivan, the banker you yelled at last week for not telling you something that he obviously had etc. Yup. Nothing more to hear in life, just throw in the towel.

4. My Doctor told me there was nothing that could be done (or another personal favorite the “I have the kind of hearing loss that can’t be helped.”) This one irks me because no well rounded physician would tell a patient this. Liken it to going to the doctor and telling them that you can’t see. I’m fairly 100% sure that almost every physician in the universe would suggest seeing an Optometrist for starters, among other things. Don’t use your Doctor as your excuse. He or she wants you to be well and to have your hearing tested regularly. Trust me.

5. I just can’t be bothered with all that hassle. Oh yes. The hassle. The hassle of having a hearing test and learning to use a hearing aid. Changing it’s battery every 7-10 days. Wait, you have an appointment with the eye doctor for a vision test? An appointment at the foot clinic? What about that hassle? Life is nothing but hassles. It’s only a hassle if it has no perceived value to you. Which apparently improved communication and safety does not.

So there you have it. If you’ve ever used these 5 excuses, just know – like my Grandma – I’m on to you! Your excuses are your way of rationalizing your refusal to take a simple hearing test. It’s a defense mechanism used to justify and explain in a seemingly logical manner (to you) your avoidance of the truth: You just don’t want hearing aids. For whatever reason. They’re pricey. They’re ugly. People will know you’re old. Despite the fact that they may be able to help you rid yourself of that annoying ringing in your ears that has changed your life…it’s just a hassle.

I may never win over my grandmother – until she’s good and ready to come in (she’s just as stubborn as I am!) but that doesn’t mean I’m going to stop trying.

Give up the ghost. It’s just a hearing test. At least that way when you tell people that there’s nothing wrong with your hearing, you will at least know to cross your fingers!

A New York Times blog posted this morning struck a cord with us here at The Hearing & Dizziness Clinic. (Click here to read it.)

Jane Brody writes that

Hearing loss is usually gradual, and people often fail to recognize when it becomes severe enough to warrant hearing aids. Some deny that they have a problem, and instead accuse others of mumbling when they know people are talking but can’t understand what is being said. Still others regard hearing aids as unattractive devices that make them feel and look old in a society that prizes youthfulness.

We see this every day. Mostly those who could benefit from a hearing aid value their vanity over communication with family and friends.

What many people with hearing loss don’t realize is that the signs of the untreated hearing loss are more noticeable to others than hearing aids.

If you feel you are having trouble communicating or are isolating yourself socially because of your hearing trouble, give us a call. We would be happy to walk you over perceived hurdles. Our Doctors of Audiology are here to help. (519) 961-9285

October is right at the doorstep: the trees are starting to change, the weather has taken a turn and of course: We’re about to kick off Audiology Awareness Month!

What is an Audiologist?

Well according to Google, we are health-care professionals who evaluate, diagnose, treat, and manage hearing loss, tinnitus, and balance disorders in newborn, children, and adults. Audiology is a well-respected and highly recognized profession. However, we think we do much, much more!

An Audiologist has extensive education, training and experience in your auditory system. We are not just here to sell and service hearing aids, our scope of practice is much larger. Audiologists are taught the foundations of how sound works, the underpinnings of hearing aid fitting algorithms, and the best ways to identify not only hearing loss, but also any underlying conditions that may need medical attention. Audiologists in Ontario are governed by CASLPO – College of Audiologists and Speech-Language Pathologists of Ontario which sets the the gold standards of practice.

If you have questions about whether or not you should see an Audiologist, please do not hesitate to contact us at any time! We can be reached at (519) 961-9285, Monday through Friday.

William Shatner, Beethoven, Will.I.am & Ronald Reagan seem likely to have nothing in common. An actor, a classical composer, a rapper and a former American President – they seemingly couldn’t be more different. But according to an article by stoptheringing.org they all (and many others) suffer from Tinnitus.

Tinnitus is commonly referred to as a ringing or buzzing in the ears, and it is the perception of sound when there is no external sound present.

1 At any point in time around 10% of the population experience tinnitus – both sexes are equally affected and although tinnitus is more common in the elderly it can occur at any age, including childhood. The perceived sound can have virtually any quality – ringing, whistling and buzzing are common – but more complex sounds can also be described.

2 Most tinnitus is mild – in fact it is relatively rare for it to develop into a chronic problem of life-altering severity, but it does happen. The natural history of tinnitus in most patients is of an acute phase of distress when the problem begins, followed by improvement over time. But for a minority of patients the distress is ongoing and very significant, and they will require specialist support.

3 Tinnitus is more common in people with hearing loss – tinnitus prevalence is greater among people with hearing impairment but the severity of the tinnitus correlates poorly with the degree of hearing loss. It is also quite possible to have tinnitus with a completely normal pure tone audiogram.

4 Tinnitus can be associated with a blocked sensation – for reasons that are not clear tinnitus and sensorineural hearing loss can give rise to a blocked feeling in the ears despite normal middle ear pressure and eardrum mobility. Otoscopy and, if available, tympanometry can exclude Eustachian tube dysfunction. Decongestants and antibiotics are rarely helpful.

5 Giving a negative prognosis is actively harmful – it is all too common to hear that patients have been told nothing can be done about tinnitus. Such negative statements are not only unhelpful but also tend to focus the patient’s attention on their tinnitus and exacerbate the distress. A positive attitude is generally helpful and there are many constructive statements that can be made about tinnitus, such as: most tinnitus lessens or disappears with time; most tinnitus is mild; tinnitus is not a precursor of hearing loss.

6 Enriching the sound environment is helpful – useful sources of sound to reduce the starkness of tinnitus include quiet uneventful music, a fan or a water feature. There are inexpensive devices that produce environmental sounds, and these are particularly useful at bedtime.

7 Hearing aids are helpful – straining to listen causes increased central auditory gain and this increased sensitivity can allow tinnitus to emerge or, if already present, to worsen. Correcting any associated hearing loss reduces this central auditory gain and thereby reduces the level of the tinnitus. Hearing aids are useful even if the hearing loss is relatively mild and an aid would not normally be considered. Recent Department of Health guidelines have emphasised the value of audiometry in a tinnitus consultation, and this is the definitive basis for decisions about hearing aid candidacy. If in doubt, refer for an audiological opinion. In our view, all people who describe tinnitus deserve an audiological assessment. Decisions on when to start using a hearing aid and what sort to use are up to the individual patient and audiologist.

8 Underlying pathology is rare, but be vigilant – in many cases tinnitus is due to heightened awareness of spontaneous electrical activity in the auditory system that is normally not perceived. It can however be a symptom of treatable and significant otological pathology, such as a vestibular schwannoma or otosclerosis. One should be especially vigilant if the tinnitus is unilateral, or if it has a pulsatile quality.

9 There is no direct role for drugs – although they can be used to treat associated symptoms such as vertigo, insomnia, anxiety or depression. There is also no conventional or complementary medication that has been shown to have specific tinnitus ameliorating qualities and there is anecdotal suggestion that repeatedly trying unsuccessful therapies worsens tinnitus.

10 Self-help is often effective – Audiologists provide excellent information on tinnitus and common sense advice on managing symptoms. Written by: Dr David Baguley PhD, Head of Audiology

Of course, as Doctors of Audiology, our Audiologists have extensive education and experience with tinnitus. If you or a loved one experience tinnitus, please feel free to call our office for more information about how we can help.

Is benign paroxysmal positional vertigo (BPPV) a rare and exotic disease? No, on most clinic days, I see at least one person with BPPV, and often, I see several. For some, BPPV is a minor annoyance. For others, it’s a nightmare of dizziness, loss of balance, nausea, and inability to work or participate in family activities. — Gregory T. Whitman, M.D. (otoneurology)

2. If you have vertigo that comes on when you lie down, it is likely you have BPPV.

3. If you have had more than 2 episodes of severe vertigo, there’s a strong possibility you have BPPV .

4. If you have BPPV in both ears, it will almost certainly throw off your balance.

5. If you have a past history of migraine and develop BPPV, you may notice an increase in headaches or light sensitivity. These symptoms will likely decrease after the BPPV has been successfully treated.

6. After BPPV has been treated, it’s a good idea for the doctor to ensure that dizziness, imbalance and related symptoms resolve.

7. If your vertigo makes you nauseated, and you do not have any vestibular tests planned, you may want to ask your audiologist if it would be all right to take a medication for vertigo before the Epley Maneuver. This can make BPPV treatment much more comfortable.

8. Curing a bout of BPPV can require persistence. Doctors and Audiologists always talk about the “easy” cases, miraculously cured on the first visit. However, I have seen patients who needed treatment on 10 different days in one month to finally clear the symptoms.

9. Another version of Rule 8: if you’ve “had BPPV for a year” or more, it’s likely you haven’t been treated enough.

10. In some cases, BPPV follows a previous inner ear infection that has damaged the inner ear and/or vestibular nerve. If this is the case, and if you still have symptoms after successful treatment of BPPV, the best treatment may be vestibular physical therapy, intended to train the ear and brain to work well together.

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If you think that you or someone you may know may benefit from speaking to our Doctors of Audiology, please give us a call! We’re here to help you (519) 961-9285.

Continuing with the theme of Balance Awareness Week, I sat and thought what would be interesting for our followers to read. As I think about the dizzy, vertigo and imbalance patients that we’ve been lucky enough to see at The Hearing & Dizziness Clinic, their stories came to mind.

The moment that they got dizzy, felt the world spin or that they were spinning.

My Dizziness is sometimes more like a little ripple of vertigo, this weird uncomfortable sensation: like if I turn my head, it feels like my head hasn’t caught up to where I am. My head feels unsteady. I feel unsteady. When I’m dizzy I can feel nauseous. I feel it if I turn around too quickly or when I’m practicing some of my vestibular rehabilitation therapy exercises. And like butterflies in your stomach when you feel naseous, I also feel the butterflies in my head, spinning around, making me feel woozy. When this happens, I want nothing more than to close my eyes and pray for the tranquility of stillness. When I’m really dizzy, I have no balance. I’m more than clumsy. If I walk, I look like I’m drunk. Unsteady and stumbling.

The other night I felt so dizzy; it was like there was a violent sea in my head, waves sloshing around so that I couldn’t find my balance.

Emily’s blog describes the beginning of her symptoms, tests, treatments, vestibular rehabilitation and her life after her dizzies. How many of our readers have shared their dizzy stories with family and friends and learned that they too have had some vestibular dysfunction?

Balance Awareness Week isn’t just learning about imbalance, but about knowing that you aren’t alone.

5. Vestibular disorders are difficult to diagnose. It is common for a patient to consult 4 or more physicians over a period several years before receiving an accurate diagnosis.

6. There is no “cure” for most vestibular disorders. They may be treated with medication, physical therapy, lifestyle changes (e.g. diet, exercise), surgery, or positional maneuvers. In most cases, patients must adapt to a host of life-altering limitations.

7. Vestibular disorders impact patients and their families physically, mentally, and emotionally. In addition to physical symptoms such as dizziness and vertigo, vestibular patients can experience poor concentration, memory, and mental fatigue. Many vestibular patients suffer from anxiety and depression due to fear of falling and the loss of their independence.

Plan to join us September 12, from 10am-2pm at the Victoria Place Plaza for a Wellness Block Party!

Come and meet & greet your local wellness & healthcare professionals and see what we have to offer you & your family!

Along with wellness talks, join us for fitness participation demos, hearing screenings, medications reviews and talks with a dietitian about meal planning and eating healthy. We’re offering great deals on local services and products.